2025 VALLEY VIEW RANCH MEMBERSHIP Form
Member Name
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First Name
Last Name
Please confirm payment has been made for the £30 subscription fee (until 31/12/25)
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BACS to: Valley View Ranch Sort Code 30-96-26 Account 45675860
Date of Birth
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Day
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Month
Year
Date of Birth
Address
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Street Address
Street Address Line 2
City
County
Post Code
E-mail
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example@example.com
Occupation
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Phone Number
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Please enter a valid phone number.
Height
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Weight
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Have you, or the rider you are signing for, ever suffered a serious injury or discomfort while riding or been advised not to ride
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Yes
No
If you have answered yes to the above, please describe
Please detail any disability or medical conditions that may affect your ability to ride. This may include but not be limited to any back problems and any condition which may affect balance or cause blackouts / loss of consciousness / fitting etc
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EMERGENCY CONTACT - Name
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EMERGENCY CONTACT - Relationship
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EMERGENCY CONTACT - Telephone Number
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I consider to myself (or the person for whom I am signing on behalf as a minor) to be a :
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Complete Beginner
Beginner
Novice
Intermediate
Advanced
How many times have you or the rider ridden in the last 12 months?
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None
Under 12
12-40
40+
What do you believe your or the rider's capability to be on a horse or pony?
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Riding at Walk
Jogging / Trotting with Stirrups
Jogging / Trotting without Stirrups
Loping / Cantering
Trail Riding / Hacking
Riding Over Jumps up to 0.5m (18")
Riding Over Jumps up to 0.75m (30")
Riding Over Cross Country Jumps
ANY DIETARY REQUIREMENTS? Needed for training days, camps and events where food may be provided
Vegetarian
Vegan
Gluten Free
I have serious food allergies and will bring my own food or drink to avoid risk
No Special Dietary Requirements
General Terms
CANCELLATIONS In the event of a no show or cancellation within 24 hours of a confirmed appointment, 100% of the fee will be payable. BACS payments can be made to: Valley View Ranch & Equestrian Centre Sort Code: 30-96-26 Account No: 45675860 DOGS We have numerous pets including dogs, cats, goats and chickens. Please keep dogs on leads at all times and clear up any mess immediately. RIDING HATS At the request of our insurers, protective headwear must be worn at all times when mounted, and must meet one of the following standards: British – All PAS 015, VG1 – provided they are BSI Kitemarked European – VG1 – provided they are BSI Kitemarked American – All SEI ASTM F1163 04a onwards and SNELL E2001 Australian & New Zealand – AS/NZS 3838 2003 onwards Harnesses must be correctly fastened at all times whilst mounted. Jockey skulls (i.e. without a fixed peak) must be worn on the Cross-Country. JUMPING SAFETY All jumps provided are optional, and it is the rider’s responsibility to ensure that they and their horse have the necessary skill and experience before attempting to jump. Riders should check all jumps beforehand to satisfy themselves that the jump can be completed safely. Single riders must be accompanied by either another rider or person on foot when using our show jumping or cross-country facilities. Spectators should be kept well clear of all jumps. SHOWJUMPS Please ensure that any jumps adjusted or moved are returned to the height and location they were at the start of the hire. Any breakages will be charged and must be reported at the end of the hire period. CHILDREN Please remember that riding stables can be dangerous places, therefore please ensure that children are properly supervised at all times. FIRE IN THE CASE OF FIRE: 1) Dial 999 for Fire Brigade. Our full address is Valley View Ranch & Equestrian Centre, Ullingswick, Hereford, HR1 3JQ. Tel: 01432 820081 2) All visitors should assemble at the Fire Point in the bottom lorry park, and all horses should be removed to the nearest available paddock. 3) Fire Extinguishers are provided throughout the site and should be used to tackle the fire only if safe to do so, and without taking personal risks. SMOKING This is a non-smoking site. Smoking is permitted in the bottom lorry park or camping field only. TOILETS There is a toilet in the top stable block for convenience of all staff and visitors. Additional toilets may be provided at busy times of the year. LITTER Please help us to keep our home safe and tidy by using the litter bins provided. CAR PARK Please park in the designated areas and ensure that any droppings are removed from the car park. Please do not feed haynets in the car park as wasted hay is very difficult to remove from the gravel. INAPPROPRIATE CONDUCT We aim for Valley View Ranch & Equestrian Centre to be a happy and safe environment for all. We will not tolerate any form of abuse towards any animal or person whatsoever and we reserve the right to eject or refuse entry to any individual who behaves in a way which The Management considers to be unacceptable. SAFETY & BIO-SECURITY All horses entering our premises must be fully vaccinated against equine influenza and tetanus by way of annual vaccine. Do not bring horses onto the premises if you know that they are suffering from any contagious condition/disease. We usually have a number of stallions on the premises, and/or horses aiming for top level competition. In the interests of safety, and to reduce the risk of cross infections please do not pet or feed any animal without permission from a member of staff. Thank you.
I can confirm that to the best of my knowledge all of the above details are correct. I have read and agree to abide by the Horse Riders' Code of Conduct. I understand that riding at any standard has inherent risk that I may fall off and could be injured. I accept that risk and agree that the riding school will not be liable for injury or damage to property unless it is caused by their negligence. Where I am signing on behalf of a minor I have explained the Horse Riders' Code of Conduct to my child and we both accept the risk and agree that the riding school will not be liable for injury or damage to property unless it is caused by their negligence. I have read and understand the lesson booking and cancellation policy and agree to bide by it at all times. Data Protection Act 1998: Statement: I understand that information I have given will be held in accordance with the Data Protection Act 1998 but may also be made available to Insurers and other concerned parties in the event of any injury or accident (PLEASE TYPE YES TO CONFIRM)
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Name
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Name of person signing the form
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